Winterbottom, Edward R
Winterbottom, Edward R is an individual health care provider with primary practice located at 835 Se Bishop Blvd , Pullman WA 99163-5512. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Winterbottom, Edward R can be contacted via phone (509) 332-2541.Contact Information
Primary practice address
835 Se Bishop Blvd
Pullman WA 99163-5512
Phone: (509) 332-2541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP30005207 | Washington |
Profile Details
| NPI number | 1689784969 |
|---|---|
| LBN Legal business name | Winterbottom, Edward R |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689784969 | NPPES |
| Washington | MEDICAID | 9609629 | |
| Washington | Other | 911603497 |
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